Desiree Daniels and Frank Thomas Parents of Deaysia Thomas-DanielsPhiladelphia, Pa 19133
April 12, 2010
NOTICE ATTACHEDHEALTH INFORMATION MANAGEMENT NOTICE "YOUR RIGHTS REGARDING MEDICAL INFORMATION ABOUT YOU"
Hand Delivered
Temple University Hospital Medical Records CustodianTemple University Children's Medical CenterTemple University Emergency Department3401 N. Broad StreetPhiladelphia PA 19140
Re: Request Copying Charges for Medical Records and Request Authorization Release Forms
Dear Sir or Madam
This is written request of Desiree Daniels and Frank Thomas Parents of Deaysia Thomas-Daniels for
(1) All medical records pertaining to care received by Deaysia Thomas-Daniels at any Temple University Hospital Department April 6, 2010 through today's scheduled visit April 12, 2010; including but not limited to doctors' examination notes, Xrays, films, sonograms, tests ordered, injections, medications given or prescribed, nurses notes, intake and discharge instructions, medications, emergency room records; follow up examinations, diagnoses, prognoses, etc.
We understand there is a copying charge for these records and ask that you contact Roxanne Grinage, HireLyrics Administrative Services, who is documenting Federal Official Corruption Fraud Civil Rights cause of action against two criminally behaving City of Philadelphia Department of Human Services social workers, Lakeisha Kenyetha and L. McMillian as managed by DHS Commissioner, Anne Marie Ambrose regarding recorded misconducts and violations of CPS rules policies and procedures which willfully recklessly endanger the best interests of our daughter Deaysia Thomas-Daniels. Please telephone, email or postal mail cost of copying records to our administrative service and costs of producing Deaysia Thomas-Daniels Temple University Hospital Medical Records 04/06/10 through 04/12/2010 will be paid promptly:
Roxanne GrinageHireLyrics Administrative ServicesPO Box 22225 Philadelphia Pa 19136Telephone: 229-395-0039Email: DignityForTheHumanSpirit@HireLyrics.orgwebsite: www.HireLyrics.org
(2) May we please have HIPAA Forms which parents can use to authorize our attorney or administrative services to order medical records about our daughter, Deaysia Thomas-Daniels?
Sincerely,
/s/ /s/_______________________________________ ______________________________________
Desiree Daniels Mother Deaysia Thomas-Daniels Frank Thomas Father Deaysia Thomas-Daniels